| NPI | 1144485103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60271798) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC60026063) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2018-06-28 |